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HomeMy WebLinkAbout0019983-Plumbing (water connection) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATIO'N AND RECORD 19983 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG,aj SIGN 0 ZONING FLOOD PLAIN HEIGHT .. .. ... .. .. .. .. .. .. .. .. ... .. .. .. .. ... .. .. ... .. ... .. .. ... ... ... .. .. .. ... .. .. .. .. .. .. .. ;- .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .. ADDRESS ~~J-~ ~ PLAN NO. OWNER DESIGNER USE/NATURE OF WORK w~~~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation ,;c. Class of Const. HEhTING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR If k c-c-/ _BT _WH _Sh _Disp _DW _SP _ WSoft _DF _ CBasin _Lav _ San. Sewer _WC _FDr _ L Tub _Ur _ Storm Sewer _Sink _ Eject _SS _ Water Other FEES: Valuation $ ISSUED BY /0 O~ 0 0 / V' Permit Fee Paid $ Date /8..8 C 8 --/s-- 90 Park Dedication $ Final/O.P. I agree to perform all work pursuant to rules governing the described construction. SIGNATURE r~ AGENT/OWNER DATE ADDRESS TELEPHONE # ADDRESS Ow:llfE R NAXURE " PLUMBING PERMIT APPLICATION .;2.;1..;;2(, ~ DATE 7J-,-C/!,c) , OFW~~~_S~ ~R / /lJ PERMIT:fF 11j?83 SAN SEW iF iF WATER Bathtub Catch Basin STORM SEW Lavatory Grease Trap Toilet Sumo Pumo INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Sinl<.(other) Site Drain Shotver Laundry Stand Pipe ~J1 Floor Drain Laundry Tr.ay Disoosal Wat. Softner Dishwasher D. Fountain Water Heater Ejector Urinals Future outlets NEW RELAY REP AIR INTERr'OR 1** Violation notes on the reverse side}